purpose: to evaluate the results of jensen procedure in correction of ocular deviation in patients with complete sixth nerve palsy. methods: hospital records of patients with complete sixth nerve palsy who underwent jensen procedure at khalili hospital of shiraz during 1993-2002 were studied and results of the operation were evaluated. results: of 18 patients including 14 male and 4 females, 19...

purpose: to evaluate the results of augmented vertical rectus muscle transposition with intraoperative botulinum toxin for complete and chronic sixth nerve palsy. methods: during a 10 years period (1381-1390) all patients with chronic and complete sixth nerve palsy, and contracted medial rectus (mr) underwent augmented vertical rectus muscle transposition with botulimum toxin injection into the...

An isolated sixth nerve palsy may be a harbinger of underlying intracranial disease. Due to its long subarachnoid course, it may be damaged by downward shift of the brainstem as often occurs in increased or decreased intracranial pressure (“false-localizing sixth nerve palsy”). Alternatively, the sixth nerve may be involved in isolation by a compressive lesion in the cavernous sinus or along th...

The sixth cranial nerve runs a long course from the brainstem to the lateral rectus muscle. Based on the location of an abnormality, other neurologic structures may be involved with the pathology related to this nerve. Sixth nerve palsy is frequently due to a benign process with full recovery within weeks, yet caution is warranted as it may portend a serious neurologic process. Hence, early dia...

Herein, we report a patient who had an isolated sixth nerve palsy due to a petrous apex cholesterol granuloma. The sixth nerve palsy appeared acutely and then spontaneously resolved over several months, initially suggesting a microvascular origin of the palsy. Subsequent recurrences of the palsy indicated a different pathophysiologic etiology and MRI revealed the lesion at the petrous apex. Sur...

purpose: to evaluate the effect of botulinum toxin-a as an alternate to surgery in acute complete sixth nerve palsy and to shorten the recovery period. methods: thirty patients with acute complete sixth nerve palsy received 1-10 units of botulinum toxin-a (dysport) injection in the medial rectus muscle within one month from the onset of palsy. toxin was injected directly into the muscle belly u...

Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache, sixth nerve palsy has also been observed in intracranial hypotension. The epidural blood patch (EBP) has been performed for postdural puncture headache, but little is known about the proper...

Cranial nerve palsy (CNP) is a rare complication following lumbar puncture, which is a common procedure used most often for diagnostic and anaesthetic purposes. The sixth cranial (abducens) nerve is the most commonly affected cranial nerve. We report a case of unilateral sixth nerve palsy after spinal anaesthesia that improved immediately after an epidural blood patch (EBP).